CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Essentia Health Sandstone

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $254
Cash Discount Price: $400
vs. Medicare Baseline: 1.62x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Essentia Health Sandstone is $254. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $400. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.62x the Medicare baseline. Located in 705 Lundorff Drive South, Sandstone, MN.

Cash / Self-Pay

$400

Average discount available for prompt cash payment at this facility.

Insurance Median

$254

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)

Cash / Self-Pay: $400 (255%)

Insurance Median: $254 (162%)

Cash: $400 (255% of Medicare)

Ins. Median: $254 (162% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $156.98 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Itasca Med Care	$111	71%
Primewest	$114	73%
Blue Cross Blue Shield	$208 - $434	133%
Blue Plus Pmap Pcc Prime	$208	133%
Medica Access	$215	137%
Healthpartners Care Pmap	$217	138%
Sanford Healthplan	$232 - $244	148%
Advocare/Security Health	$254	162%
Freedom Blue Ppo	$254	162%
Healthpartners Care Msho / Mcr Adv	$254	162%
Imcare Msho Pcc Prime	$254	162%
Imcare Msho Ref Req	$254	162%
Medica Advantage Solutions	$254	162%
Medica Msho/Dual Solutions	$254	162%
Medica Prime Solution Group	$254	162%
Medicare (plans)	$254	162%
Nd Va Administration	$254	162%
Platinum Blue/Vantage Blue	$254	162%
Primewest Msho	$254	162%
Secure Blue Msho	$254	162%
Ubh Cost Plan	$254	162%
Ubh Msho	$254	162%
Ucare Msho	$254	162%
UnitedHealthcare	$254 - $492	162%
Ucare	$356	227%
Healthpartners	$366 - $422	233%
Medica	$387 - $430	247%
Medica Uplan	$387	247%
Wea	$390 - $417	248%
America'S Ppo	$419	267%
Cigna	$422	269%
Healthpartners Pcc Prime	$422	269%
Medica Choice	$443	282%
Wps	$454	289%
Aetna	$460	293%
Security Health	$541	345%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $400.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Essentia Health Sandstone is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77066.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.